JUSTIN THOMAS MOORE APRN
NPI 1275336893
Nurse Practitioner - Psychiatric/Mental Health in Tacoma, WA

Q: What is Justin Moore's NPI number?

The NPI number for Justin Moore is 1275336893. It was assigned to this individual provider in the NPPES registry on March 29, 2025. The provider is also known as Mr. Justin Thomas Moore Pmhnp.

Q: What is Justin Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Justin Moore was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2025PECOS Enrolled

503 E 26TH ST, TACOMA, WA 98421(253) 881-7001 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Justin Thomas Moore Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN THOMAS MOORE APRN (NPI 1275336893) is an individual psychiatric/mental health provider in Tacoma, Washington, licensed in Washington (AP61668130) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275336893

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJUSTIN THOMAS MOORECredential: APRN

Location Address503 E 26TH STTacoma, WA 98421-1343

Mailing Address503 E 26th StTacoma, WA 98421-1343 · (253) 881-7001

Phone(253) 881-7001

Sole ProprietorYes

Enumeration DateMarch 29, 2025

NPPES CertifiedMarch 29, 2025

✔ NPI 1275336893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP61668130

503 E 26TH ST, Tacoma, WA 98421

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Other Names 1

Professional Name (2)Mr. Justin Thomas Moore Pmhnp

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Thomas Moore Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98421 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENNIS KISH JR.

Counselor (Addiction (Substance Use Disorder))